Report #2838055

Received Apr 25, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 11 yrs
State: GA
Recovered: Recovered
Vaccinated: Apr 25, 2025
Onset: Apr 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
HPV9	HPV (GARDASIL 9)	MERCK & CO. INC.	1	Y010466	IM / LA
MNQ	MENINGOCOCCAL CONJUGATE (MENQUADFI)	SANOFI PASTEUR	1	U8256AB	IM / RA
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	1	U8122AA	IM / LA

Symptoms (4)

DyskinesiaLoss of consciousnessMusculoskeletal stiffnessUnresponsive to stimuli

Symptom narrative

HPV, Tdap, and Meningitis given at 11:45am, 11:48am mom came in office after pulling out of parking space stating child having a seizure. Mom explained he started to pass out, body went stiff, had a couple of jerking motions, and could not respond to her-patient evaluated by doctor, MA's, and PA at 1148am. Child was coherent, drinking juice, no other symptoms.

Current illness

None

Medical history

None known

Other medications

None

Allergies

Augmentin

Lab data

None